MR. SHANNON MIZE


Address: 208 Hudson St, Cumming, GA 30040-2432
Phone: 7708875835

MR. SHANNON MIZE (NPI# 1609885813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609885813
Entity Type Individual
Full Name MR. SHANNON MIZE
Credential M.D.
Practice Address 208 Hudson St
Cumming
GA 30040-2432
Mailing Address 208 Hudson Street
Cumming
GA 30040
Practice Telephone 7708875835
Practice Fax Number 7707814373
Mailing Telephone 7708875835
Mailing Fax Number 7707814373
Enumeration Date 2006-08-05
Last Update Date 2010-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 018866 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00179803B1 05
GA 000179803B 05

Other Providers SHANNON MIZE

NPI Name Taxonomy Address Enumeration
1497203152 Shannon Mize Speech-Language Pathologist 3030 Nw Expressway, Suite 809, Oklahoma City, OK 73112-5474 2016-09-12

Office Location

Street Address 208 HUDSON ST
City CUMMING
State GA
Zip Code 30040-2432

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1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
1336706316 Mary Kathleen Hesidence Nurse Practitioner 81 Northside Dr, #100, Dawsonville, GA 30040 2019-05-24
1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
1417430075 Ashley Michelle Nollenberger Counselor 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 2018-09-10
1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811473366 Anytime Physicians LLC Family Medicine 3482 Keith Bridge Rd Ste 131, Cumming, GA 30041-5546 2018-07-18
1023368693 Family Medicine and Urgent Care, P.C. Family Medicine 4415 Front Nine Drive, Suite 700, Cumming, GA 30041-6018 2012-09-11
1033401302 Rishita Patel Family Medicine 2825 Keith Bridge Rd Ste 100, Cumming, GA 30041 2011-05-05
1861647208 Nandana R Reddy Family Medicine 2655 Hermitage Dr, Cumming, GA 30041-6337 2008-11-26
1235309469 Jayasri Mallavarapu Family Medicine 1614 Peachtree Pkwy, Suite 200, Cumming, GA 30041-6883 2008-03-04
1093877961 Jacob Varghese Family Medicine 1400 Northside Forsyth Office, Suite 350, Cumming, GA 30041 2006-12-15
1992805006 Nibedita Patro Family Medicine 1080 Sanders Rd, Ste 100, Cumming, GA 30041-8057 2006-09-25
1710084793 Lea A Danielsen Family Medicine 5435 Oakrun Cir, Cumming, GA 30040-1211 2006-09-20
1497857841 David Arnel Ragan Family Medicine 610 Peachtree Parkway, Suite 201, Cumming, GA 30041-9712 2006-09-05
1710096227 Annmarie Stokes Family Medicine 634 Peachtree Pkwy, Suite 282, Cumming, GA 30041-9782 2006-08-29
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Competitor

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City CUMMING
Zip Code 30040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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